VIDEO PARADISE 223 Derby St.
-- Video Paradise I -- — —
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:plies rer-lt _c ✓ ='ect , _ Alter , Repair
ccescr , Led d ildir._:
==nine/District
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ame cf ?rccerty Crner 1 ILS
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-cdress
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cod na-,e of e°7onsiole officer
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_icensed on - Salem
License No.
636
,ddress �k (, Oct'i-lo� i � lase
Floor ✓ -rd-Floor
Jse cf =undine: ' s:: th Floor
:nd Floor
Tcf Sian: ✓ Surface,
Rich; Aneles to cuildind ,
vpe Free Standing ,
Other (speci ` Heicht•
Y)Sic❑ r.a;erials. �nt� c:' ;' 1
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Sian Area 2.Z• & SF
Sicn�.Dic�en5iorts ( �1 � �
Sign Area SF
xistina Sians : Surface: Sign Area SF
Richt Angles : Sign Area SF
Free-Standina Sian Area SF
Other
� Sian Area \ SF
Signs to be Removed: Type ,
FT Property I�'�' � � FT
Frontage: Euilding S \
lame
_ d address of Signature of Owner �• t ti
nsurance Company
Sianzture of �.�nerr ut horized Representative
3 Address 2 aadluIp
Estirated Cost Telephone
of t;ew Work .....
APPROVALS:
Signature of Property Owner
_ , � rnr� r.al—l0l-:fN 55 io'
PLAIt O1 LOT
'- I SIIOW SICU SIZE , IOLUR Allo LOW I "" i, 1 Isu11.UlIn, ;
' \TION FOR PERM.T FOR Show Location of PrcicnP Sll%lcl!no LOCATIOII OF WINTER SICIIS Allo 111111IillIC I.If(RAIIU_
ATIONS, REPAIRS AND and Signs
DEMOLITIONS
,,,,,,,,,,,CLASS BUILDING
LOCATION
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CONDITIONS
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Pcrnlil Granlccl
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ATE INVOICE AMOUNT 53-235
v:peo paaaho¢® —_ 113
.207 WASHINGTON STREET 1856
SALEM, MA 01970 _-. ----
PAY ` T -- -- _ - nnl i ARS
Yg91HRS DATE --�-*<.u*• TO THE ORDER OF3. s+.v. ��W-.o---e-.ter e:+;�ROSS.q <•'--_•-,��.<_-.DESCRIPTION. ..DISC..... .:.
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BAYBANK MIDDLESEX- - -
MASSACHUSETTS
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